Thrive Center For Health
Anesthesiology in Grand Rapids, MI. Organization (NPI-2).
NPI number1164074340
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1164074340
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Center For Health
- Organization subpart
- No
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
847 Parchment Dr Se Ste 105Grand Rapids, MI 49546-2377
Phone 616-805-3350
Mailing address
847 Parchment Dr Se Ste 105Grand Rapids, MI 49546-2377
Phone 616-805-3350
Authorized official
Carol Agnes Jugan
Owner
6168053350
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